Individual provider · Type 1 NPI

Kim Colegrove

Massage Therapist · Lakewood, OH

NPI number 1073923256 Active

Practice location

12501 Madison Ave
Lakewood, OH 44107-5004

Call (216) 287-1358 Map

Mailing address

3566 Warren Rd
Cleveland, OH 44111-3039

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X33.015190 (OH)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1073923256

Kim Colegrove's National Provider Identifier is 1073923256, issued on Apr 28, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lakewood, OH. The record was last updated on Apr 28, 2014.